Individual
LUKE A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 633-1678
(252) 633-1403
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 633-1678
(252) 633-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201501224
NC
207Q00000X
Family Medicine Physician
4301054732
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4154275
—
MI
Enumeration date
08/17/2005
Last updated
01/11/2016
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